The Child-Adult Medical Procedure Interaction Scale-Revised: An ...

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eportPain-.22*.34'-.25".21Table II. Correlations Between the CAMPIS-R and the Validity Measures"ObservationalAdult reportBAADSPARENTStaffCAMPIS codesOSBDDistressApp/AvDistressFearPainHelpDistressCooperFearChildChild CopingChild DistressChild NeutralParent Coping PromotingParent Distress PromotingParent NeutralStaff Coping Promoting-.49".57"-.23*.64"-.37".42"-.45".19-.53".24*-.31'.26*-.20.33'-.19.23*.28'-.23*-.23*.25*.23*-.18.25*-.30'-.39"-.37".46"-.23*-.18.50"-.22*.37"-.38".22*-.43"-.25*.30'-.19Staff Distress PromotingStaff neutral.49"-.26*-.39".25*.22*-.22*.26*-.27*.21-.22*"Only those correlations which were significant at the p £ . 10 level are displayed. Correlations of;study-wise error set at p £ .05.b p < .05.c p < .01."p < .001..39 are significant using the Bonferroni correction, with the
CAMPIS-R 83correlated with BAADS Approach-Avoidance scores, parents' rating of theirability to help their child, and staffs' rating of child cooperation. These findingsindicate a high degree of validity for CAMPIS-R Coping, as the children whodisplayed a high proportion of coping behaviors also scored as less distressed,less fearful, and having experienced less pain, and as more approaching, cooperative,and easily helped. CAMPIS-R Distress was positively related to OSBDDistress scores, BAADS Distress, and to all of the parent, staff, and childmeasures of fear, pain, and distress, and was inversely related to BAADS Approach-Avoidancescores, parents' ratings of their ability to help their child, andstaffs' rating of cooperation. This indicates a high degree of validity for the codeof CAMPIS-R Distress. Child Neutral was inversely related to OSBD Distress,staffs' rating of distress, and children's ratings of their pain. This indicates thatchildren who engaged in a higher proportion of Neutral behaviors, relative toother behaviors, were observed and rated as less distressed.Parent CodesCoping Promoting was positively related to BAADS Approach-Avoidancescores and to staffs' rating of the children's cooperation, and was inverselyrelated to BAADS Distress and to staff's rating of children's distress. DistressPromoting was positively correlated with OSBD Distress and with BAADSDistress, as well as with parents' reports of child fear and pain, staffs' reports ofchild distress, and children's self-report of their pain, and was inversely relatedto BAADS Approach-Avoidance scores, parents' rating of their ability to helptheir child, and staffs' rating of cooperation. This suggests a high degree ofvalidity for the metric of Parent Distress Promoting, as parents who displayed ahigh proportion of Distress Promoting behaviors also had children who weremore distressed, were more fearful and experienced more pain, and were lessapproaching, less cooperative, and less easily helped. Parent Neutral was inverselyrelated to OSBD Distress, parents' ratings of their children's fear, staffs'ratings of child distress, and children's self-reports of fear. Parent Neutral wasalso positively related to BAADS Approach-Avoidance scores.Staff CodesStaffs' CAMPIS-R Coping Promoting was inversely related to parents' reportof their children's pain, thereby providing partial support for the validity ofthe staff Coping Promoting code. Staffs' Distress Promoting behavior correlatedpositively with OSBD Distress, BAADS Distress, parents' ratings of their children'sfear, staffs' rating of the children's distress, and children's rating of theirfear, and was inversely related to BAADS Approach-Avoidance scores, parents'
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Page 3 and 4: CAMPIS-R 75distracting or coaching
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Page 7 and 8: CAMPIS-R 79Verbal Resistance, Emoti
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Page 13 and 14: CAMPIS-R 85sures. However, in spite
Page 15 and 16: CAMPIS-R 87on children's distress b

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